Advances in the conceptualization and measurement of Health Care Empowerment: development and validation of the Health Care Empowerment inventory.
Advances in the conceptualization and measurement of Health Care Empowerment: development and validation of the Health Care Empowerment inventory.
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DOI：
10.1371/journal.pone.0045692
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发表时间：
2012
期刊：
影响因子：
3.7
通讯作者：
Neilands TB
中科院分区：
文献类型：
--
作者：
Johnson MO;Rose CD;Dilworth SE;Neilands TB
卫生保健授权模式提供了病人控制的参与和参与卫生保健的调查方向。该模型的核心是卫生保健赋权（HCE）的结构，目前还没有经过验证的措施。一组27个候选人的自我报告调查项目的构建，以捕捉HCE的五个假设的相互关联的方面（知情，参与，承诺，合作，容忍不确定性）。对参加三项正在进行的研究的644名艾滋病毒感染者进行了完整的项目集管理。探索性和验证性因素分析产生了两个因素的解决方案，每个解决方案包括两个分量表上的四个项目：（1）HCE：知情，承诺，合作和协作（ICCE）和（2）HCE不确定性容忍度（HCE TU）。评估子量表评分与三项研究中测量的相关结构的关系，包括抑郁症，提供者关系，药物依从性和HIV-1病毒载量。研究结果表明，这8项医疗保健授权清单（HCEI）的效用，努力衡量，理解和跟踪个人从事医疗保健的方式的变化。
The Health Care Empowerment Model offers direction for the investigation of patient-controlled engagement and involvement in health care. At the core of the model is the construct of Health Care Empowerment (HCE), for which there exist no validated measures. A set of 27 candidate self-report survey items was constructed to capture five hypothesized inter-related facets of HCE (informed, engaged, committed, collaborative, and tolerant of uncertainty). The full item set was administered to 644 HIV-infected persons enrolled in three ongoing research studies. Exploratory and confirmatory factor analyses resulted in a two factor solution comprising four items each on two subscales: (1) HCE: Informed, Committed, Collaborative, and Engaged HCE ICCE) and (2) HCE Tolerance of Uncertainty (HCE TU). Subscale scores were evaluated for relationships with relevant constructs measured in the three studies, including depression, provider relationships, medication adherence, and HIV-1 viral load. Findings suggest the utility of this 8-item Health Care Empowerment Inventory (HCEI) in efforts to measure, understand, and track changes in the ways in which individuals engage in health care.
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DOI：
10.1080/10705519909540118
发表时间：
1999-01-01
影响因子：
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作者：
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